REVENUE CYCLE MANAGEMENT

The process of preparing, submitting, and managing claims to insurance companies to ensure healthcare providers receive payment for the services they deliver.
 
From Credentialing, Eligibility verification, Coding , claims submission to payment posting and denial management, we manage every aspect of your revenue cycle.  Our goal is to make billing as efficient as possible so you can focus on patient care. 

                             ABOUT THE PROCESS

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Credentialing: Credentialing is the process of verifying and evaluating the qualifications, experience, and professional background of healthcare providers to ensure they meet the standards required by regulatory bodies, hospitals, and insurance companies.
 
Eligibility and Benefits: Confirming a patient’s insurance coverage to ensure services are included and to clarify their cost-sharing obligations before treatment.

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Coding and Billing: Translating clinical information into coding formats to ensure precise and compliant claim submission to insurance providers.
 

Authorization: Requesting advance approval from the insurer to ensure coverage for designated medical treatments. 

Payment Posting: Updating the billing system with payments from payers and patients to reflect correct account balances.

Account Receivable: Handling outstanding amounts due from insurance companies and patients for delivered medical services.

Denial Management:  Investigating claim denials and submitting appeals to recover payment for provided medical services.

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